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NPI Code Detail

MEDICARE: DONALD SWEET SACIT

MEDICARE: DONALD SWEET SACIT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor16694-130WI

General Provider Information

NPI Number : 1750621181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD SWEET SACIT
Provider Business Mailing Address
First Line : 50 S BUTLER ST
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-3941
Country : US
Telephone Number : 920-203-4033
Fax Number :
Provider Business Practice Location Address
First Line : 502 E NEW YORK AVE
Second Line :
City : OSHKOSH
State : WI
Zip : 54901-3938
Country : US
Telephone Number : 920-651-1844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2013
Last Update Date : 02/21/2013

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Directions to “ DONALD SWEET SACIT” Practice Location

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